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General NPI Number Information
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NPI Number | 1578106381
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Entity Type | Organization
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Legal Business Name | ENDEARMENT, LLC.
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Dates
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Enumeration Date | 10/24/2019
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Last Update Date | 10/24/2019
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Provider Practice Location Address
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Address Line | 107 WALNUT LN
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City | ELKTON
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State | MD
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Zip | 21921-5001
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Country | US
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Telephone | 443-350-9728
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Fax |
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Provider Business Mailing Address
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Address Line | 107 WALNUT LN
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City | ELKTON
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State | MD
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Zip | 21921-5001
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Country | US
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Telephone | 443-350-9728
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Fax |
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Authorized Official
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Title or Position | OWNER/ MANAGER
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Name | CATELLA M VISSER
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Credential | RN
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Telephone | 410-920-8925
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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